My justification for asking your attention to a subject that may appear trite and perfectly familiar to you is the fact that while physicians are receiving as fees from insurance companies and coöperative associations about $2,500,000 per annum, they are not in every instance giving a quid pro quo. I understand fully and we all agree that members of the American Medical Association always give a quid much bigger than the quo; but it is the doctors who are not of us that I shall describe. My remarks will not apply to the strictly technical part of the examination, for I feel that after fifteen years' work in examining applicants' lungs and hearts and kidneys I have too much yet to learn to warrant my giving you instructions in physical diagnosis. Hence for the sake of avoiding argument I will assume that every man who has a diploma is ipse